Dental
Park, Jaewoo
Park, Jaewoo was paid $90K by Medicaid between Aug 2021 and Dec 2022, across 11 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 24% of everything it billed.
33Billing provider infoPARK, JAEWOO
GLEN BURNIE, MD 21061
GLEN BURNIE, MD 21061
33aNPI1184105330assigned 08/26/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$90K
24GClaims4,538
24DCodes billed11
24AFirst – last monthAug 2021 – Dec 2022
Compared with peers
Next to other General Practice Dentistry providers in Maryland
Rank by total paid#237 of 598
Median peer was paid$42K
This provider vs. median2.2×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 1,263 | $24K | |
| 2022 | 3,275 | $66K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 24% | 279 | 122 | $22K |
| D1110 | Prophylaxis - adult | 20% | 700 | 694 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 581 | 576 | $10K |
| D0330 | Panoramic radiographic image | 11% | 276 | 274 | $10K |
| D0274 | Bitewings - four radiographic images | 11% | 808 | 796 | $10K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.3% | 564 | 559 | $7K |
| D0140 | Limited oral evaluation - problem focused | 5.2% | 289 | 289 | $5K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 3.3% | 41 | 19 | $3K |
| D0210 | Intraoral - complete series of radiographic images | 3.3% | 138 | 134 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 2.4% | 458 | 454 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.4% | 404 | 221 | $1K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.